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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PASCO PERM(r SeR.If" <br />PHONE CONTACT FOR PERMITTING (-'iSiCG,-g;;).l.{-78QL/- <br /> <br />7 J3/oY <br /> <br />c II/turd' I <br />3 LJ lj rJ. To tl rllltLll ,u <br />LEGAL DESCRIPTION: LOT(S) Ji/ <br />J '/ ..~{, ~<-J/ - dof{) - rXXJOO - r),f/ 0 <br /> <br />OWNER'S NAME <br /> <br />JlI J//lM- K hie. <br />IJ/'Jb-e - <br /> <br />PHONE <br /> <br />Zep'-Jrkllr ~ / <br />SUBDIVISIONL~rt1/cI lb'A..1 Rt <br /> <br />(ORTAIN FROM PROPERTY TAX N~~ <br /> <br />JOB ADDRESS <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />oSIGN <br /> <br />o ADDITION <br /> <br />oALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />PROPOSED USE:oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT <br />Ltintli <br /> <br />/ eL )l .J~ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />J I'LJ r <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />.~" <br />I:) () . tl u:> tJ, <br /> <br />~ BUILDING <br />b'ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.y;/ <br />/ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATI <br />o OTHER <br /> <br /> <br />~ /} <br />':t\ 9-- '?J ' <br />~." <br /> <br />oGAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />tsfFRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES 0 NO <br /> <br />BUILDER <br /> <br />~1r~t: ~ /L <br />(. <br /> <br />"' n.._...._ _._. _. ......__ _ . <br />PQ~~g~1:,$.g'.t'I~ <br />COMPANY :TeI"O'Lt.:.J <lttak'A ~ <br />STATE CERT OR RE:rST # " w~ <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />